Compliance Auditor - Mpg - Ft - Days - Mhs

Memorial Healthcare System

Not specified, USA
On-site
Auditing physician coding and billing
Medical necessity verification
Regulatory compliance monitoring
Memorial Healthcare System is seeking a Compliance Auditor responsible for auditing physician coding and billing practices to ensure compliance with regulatory requirements. The ideal candidate will have auditing experience, relevant certifications, and strong analytical skills

Job Summary

  • Responsible for auditing physician evaluation and management and procedures coding and billing to ensure they meet the official coding guidelines, medical necessity and compliance with regulatory requirements.
  • Prepares formal audit reports, participates in investigations, and responds to inquiries from federal and state agencies.
  • Communicates with and educates employees on the Memorial Healthcare System (MHS) Compliance Program.

Matching Summary

Match Score: 85

Memorial Healthcare System is seeking a Compliance Auditor responsible for auditing physician coding and billing practices to ensure compliance with regulatory requirements. The ideal candidate will have auditing experience, relevant certifications, and strong analytical skills.

Skills & Requirements

Must-have

  • auditing physician coding and billing
  • medical necessity verification
  • regulatory compliance monitoring
  • formal audit report preparation
  • investigation response

Nice-to-have

  • critical thinking skills
  • effective communication
  • decisive judgment
  • positive relationship building
  • leadership ability

Key Requirements

  • Associates degree
  • 3 years of experience in coding or auditing
  • Certified Coding Associate (CCA)
  • Certified Professional Medical Auditor (CPMA)

Work Rights

Not specified

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